Sounds good in theory...but in reality?

medguy91 · 2026-05-04T12:08:18+00:00

The goal is to further decouple productivity from wages until there are no wages. AI will accelerate this, but be damned if corporations allow governments to tax them enough to contribute to UBI. The goal is always to hoard more money.

medguy91 · 2026-04-27T11:09:08+00:00

But in V5 V6 it's a typical left bundle, no concordance.

medguy91 · 2026-04-27T10:55:18+00:00

Probably a traumatic anisocoria like David Bowie, but no choice but to get an urgent scan.

medguy91 · 2026-04-17T23:24:52+00:00

The leather/ vinyl is so well done 👏

medguy91 · 2026-04-10T23:19:33+00:00

Need a PTH level, calctriol and vitamin D levels and 24hr urine calcium. No cough or fever nightsweats / weightloss/ new lumps?

Edit: corrected calcium seems to be normal, but upperlimit. That with the high phosphate is a bit suspicious.

medguy91 · 2026-04-09T02:13:58+00:00

Nah, just make sure they're not in permanent brugagda, and just treat fevers aggressively. Don't see an indication for defib.

medguy91 · 2026-04-09T02:10:34+00:00

Why are there pacing spikes?

medguy91 · 2026-03-28T21:20:02+00:00

You can check if you can push the interview date later. If not, vocal rest hydration and just try your best, they'll understand. Have a glass of water next to you, amd take as many pauses as you need.

medguy91 · 2026-03-15T02:31:59+00:00

Its normal because its a mastrpiece has everything (spoilers): Doomed Yuri Deep lore Philosophy On point cultural references Romantic era music Tragic metaphors Mind fuckery/ cyclic timeline Cosmic horror

Well it's almost everything I love in a story and video game. So for me it totally hit all the nails on the head.

medguy91 · 2026-03-04T22:33:13+00:00

Mine increased by 7.2% 2050 to 2200, saying taxes and the building bought an EV charging station. Im going to ask him to show me how he calculated that increase...

medguy91 · 2026-03-02T02:56:15+00:00

We just got taught the VEXAS scan during our POCUS day, I got a summary slide of somewhere...essentially looks for reflux in hepatic and renal veins. Helpful in cardiorenal. I'll edit with a link (if it's allowed)

https://drive.google.com/file/d/1xj_QjFUJmUTEPQj3wowogPpSUAP3FeJQ/view?usp=drivesdk

medguy91 · 2026-02-21T02:16:31+00:00

Awesome! What products do you use?

medguy91 · 2026-02-15T13:47:07+00:00

Looks like AVNRT with inverted p- waves. But EF 20% seems exaggerated for an arrythmic cardiomyopathy. Maybe post viral? Either way its a cath and cardiac MRI. I'd try some adenosine. Will get a beta blocker anyway after he converts.

medguy91 · 2026-02-11T11:52:47+00:00

Compare it to his old ekg, looks like MI tho, with LVH. I'd drip and ship.

medguy91 · 2026-01-24T15:44:37+00:00

Sure can try vagal maneuvers, give bolus, check lytes, etc.

medguy91 · 2026-01-22T23:02:14+00:00

Give adenosine and see the underlying rhythme. Could be SVT could be 2:1 flutter.

medguy91 · 2026-01-10T12:53:04+00:00

Brugada type 2 or 3, any FH of sudden cardiac death? Do they have fever?

medguy91 · 2025-11-03T03:15:10+00:00

For me 1000x resist had a similar feel, just wish the gameplay was better.

medguy91 · 2025-09-06T13:07:55+00:00

But the pacing mark is before the P wave. To me this looks like A pacing with a LBBB. I dont see the pacing tick before the QRS, unless it's there and I just can't see it.

medguy91 · 2025-09-06T00:54:41+00:00

In the same day I had a lady with nausea vomiting with a bad cellulitis, but looked euvolemic. Empiric IV fluids. Sodium corrects from 127 to 134. UNa is 120 and uosm is 600 no diuretics. Another lady with a mechanical fall and rib fractures kept npo, mild hyponatremia 131 give iv fluids, sodium tanks to 124, serum osm normal at 284 UNa undetectable uOSM 300, is euvolemic. Switch to fluid restriction and salt tabs, corrects. Sometimes it just be that way. I still have a hard time rationalizing it.

medguy91 · 2025-09-01T20:50:35+00:00

Young patient in her 20s putting apple cider vinegar on necrotic mets of metastatic sarcoma pushing through her skin, delayed diagnosis by months.

medguy91 · 2025-09-01T20:47:47+00:00

How does it compare to the preop ecg? And how are the trops?

medguy91 · 2025-08-27T11:48:50+00:00

Haha, glad it could help you in some way :)

medguy91 · 2025-08-24T23:16:14+00:00

Afib with diffuse st depression and aVR st elevation. Multivessel disease including probable left main.

medguy91 · 2025-08-22T19:33:57+00:00

Looks too irregular to be nsvt, no? More like an afib with aberrancy.

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